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Damon J Licari, PA

Physician Assistant in Fairfax, VA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962495069

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Registry record

Entity type Individual (Type 1)
Name Damon J Licari
Credential PA
Sex Male
Practice address 8081 Innovation Park Dr Ste 602, Fairfax, VA, 22031
Fax (571) 472-3271
Enumeration date Aug 24, 2005
Last updated in NPPES Mar 15, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0110001250 (VA) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier Type State Issuer
GP0624 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Damon Licari practice?
The practice location on file with NPPES is in Fairfax, VA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Damon Licari?
The National Provider Identifier (NPI) for Damon Licari is 1962495069, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-15.